Author Question: An elderly client is demonstrating a change in heart rate that occurs with respirations. When ... (Read 78 times)

Wadzanai

  • Hero Member
  • *****
  • Posts: 528
An elderly client is demonstrating a change in heart rate that occurs with respirations. When planning care for the client, the nurse knows that treatment may include:
 
  1. Oxygen therapy
  2. Analgesics
  3. Antibiotics
  4. Pacemaker insertion

Question 2

An 84-year-old client is experiencing severe arthritis pain. The nurse realizes that which of the following pain management approaches would be the most beneficial for this client? (Select all that apply.)
 
  1. Avoid NSAIDs.
  2. Utilize morphine or morphine-like medication.
  3. Provide medication through the oral route.
  4. Utilize diazepam.
  5. Suggest Darvocet.
  6. Provide medication through the intramuscular route.



AngeliqueG

  • Sr. Member
  • ****
  • Posts: 343
Answer to Question 1

4
A change in heart rate that occurs with respirations defines a sinus arrhythmia. If the client becomes symptomatic during periods of bradycardia, treatment will include atropine sulfate or pacemaker insertion. Treatment for sinus arrhythmia might include oxygen if the client is symptomatic. Treatment for this arrhythmia does not include analgesics or antibiotics.

Answer to Question 2

1, 2, 3
When providing pain medication to a geriatric client, pain management approaches include the utilization of morphine or morphine-like medication to control pain and provide medication using the oral route. NSAIDs should also be avoided because of the risk of gastrointestinal bleeding. Diazepam should be avoided because of a long half-life. Darvocet should be avoided because of toxic effects with renal insufficiency. Medication should not be provided using the intramuscular route because of muscle wasting and loss of fatty tissue in the elderly client.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

After 5 years of being diagnosed with rheumatoid arthritis, one every three patients will no longer be able to work.

Did you know?

Critical care patients are twice as likely to receive the wrong medication. Of these errors, 20% are life-threatening, and 42% require additional life-sustaining treatments.

Did you know?

In most climates, 8 to 10 glasses of water per day is recommended for adults. The best indicator for adequate fluid intake is frequent, clear urination.

Did you know?

According to the National Institute of Environmental Health Sciences, lung disease is the third leading killer in the United States, responsible for one in seven deaths. It is the leading cause of death among infants under the age of one year.

Did you know?

Malaria mortality rates are falling. Increased malaria prevention and control measures have greatly improved these rates. Since 2000, malaria mortality rates have fallen globally by 60% among all age groups, and by 65% among children under age 5.

For a complete list of videos, visit our video library